Secure Reservation Form

If you would like to reserve a trip, a deposit of $50 US dollars per diver and $25 per snorkeler is required. We will calculate your total and contact you with the balance due. (Trip availability is based on free space - this is a reservation request only.)
- 100% refund on full payment with 24 hours cancellation / rescheduling notice.
- 80% refund on full payment with less than 24 hours notice.
- Deposit is non-refundable with less than 24 hours notice.
- For credit card cancellation / refund there is an additional fee of 6%.
* Required information.

If you are human, leave this field blank.

First Name
*

Last Name
*

EmailAddress
*

Address
*

Day Phone
*

Evening Phone

Date of Trip

Group Size

Adults

1

2

3

4

5

6

7

8

9

10

Children

1

2

3

4

5

6

7

8

9

10

End Section

Trip Requested

Payment by Credit Card:

Deposit Total: $
*

CC Name ( John H Doe )
*

CC Number (4444333322221111)
*

CC EXP ( 03/2018 )
*

CC CCV ( 066 )
*

End Section

Questions / Comments

reCAPTCHA

About Us

Since 1988, Northern Coast has been exploring the coral reefs of the Dominican Republic’s north coast. We have been with PADI for 25years!!! We are PADI 5 Star Dive Center